NPI | 1730505694 |
---|---|
Former Name | ASHLEY ELIZABETH PLONK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5006796) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 233437) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |